Individual provider Active NPI

Tosha Deann Brandon, NP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1114572666
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142596 Issued in TX
Practice address
1400 S Coulter St
Amarillo, TX 79106-1786
Phone
(806) 414-9650
Fax
(806) 354-5730
NPI assigned
Aug 1, 2019
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-78945 KS
Family Nurse Practitioner 363LF0000X AP142596 TX Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP142596 TX
Orthopaedic Surgery Physician 207X00000X 849172 TX

Addresses

Primary practice location

1400 S Coulter St
Amarillo, TX 79106-1786

Mailing address

1400 S Coulter St
Amarillo, TX 79106-1786
Phone (806) 414-9650

Other practice location 1

311 E Spruce St
Garden City, KS 67846-5614
Phone (620) 275-3700

Other practice location 2

112 W Ross Blvd Ste D
Dodge City, KS 67801-7220
Phone (620) 371-7200

Other practice location 3

201 Albert Ave
Scott City, KS 67871-6117
Phone (620) 872-5811

Other practice location 4

305 W 15th St Ste 203
Liberal, KS 67901-2455
Phone (620) 624-4700

Other practice location 5

1400 S Coulter St
Amarillo, TX 79106-1786
Phone (806) 414-9650

Other practice location 6

1400 S Coulter St
Amarillo, TX 79106-1786
Phone (806) 414-9650

Other practice location 7

410 E Spruce St
Garden City, KS 67846-5659
Phone (620) 272-2579

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Tosha.brandon@cccancer.ikm.direct-ci.com Direct
Direct Messaging Address Tosha.brandon@cccancer.ikm.direct-ci.com Direct
Direct Messaging Address Tosha.brandon@cccancer.ikm.direct-ci.com Direct
Direct Messaging Address Tosha.brandon@cccancer.ikm.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230323003173 TX Practitioner - Nurse Practitioner 4880925031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 S Coulter St
Amarillo, TX 79106-1786
Phone (806) 414-9558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
849172TXMDOrthopaedic Surgery Physician
AP142596TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Amarillo Current Accepting new patients
Texas Tech University Health Sciences Center Amarillo CurrentSince Feb 6, 2023 Accepting new patients
Texas Tech University Health Sciences Center CurrentSince Feb 6, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso Past Accepting new patients

Locations

1400 S Coulter St
Amarillo, TX 79106
Phone (806) 354-5600

3404 4th Ave
Unit D
Canyon, TX 79015
Phone (806) 414-9650

Interoperability endpoints

  • Direct secure messaging: tosha.brandon@cccancer.ikm.direct-ci.com
  • Direct secure messaging: toshabrandon@ttuhsc.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1114572666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061786",
            "telephone_number": "806-414-9650",
            "fax_number": "806-354-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061786",
            "telephone_number": "806-414-9650",
            "fax_number": "806-354-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465614",
            "country_code": "US",
            "telephone_number": "620-275-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 W Ross Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678017220",
            "country_code": "US",
            "telephone_number": "620-371-7200",
            "fax_number": "888-235-4591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Albert Ave",
            "address_purpose": "LOCATION",
            "city": "Scott City",
            "state": "KS",
            "postal_code": "678716117",
            "country_code": "US",
            "telephone_number": "620-872-5811",
            "fax_number": "620-272-2685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W 15th St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Liberal",
            "state": "KS",
            "postal_code": "679012455",
            "country_code": "US",
            "telephone_number": "620-624-4700",
            "fax_number": "888-235-3625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Coulter St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061786",
            "country_code": "US",
            "telephone_number": "806-414-9650",
            "fax_number": "806-354-5730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Coulter St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061786",
            "country_code": "US",
            "telephone_number": "806-414-9650",
            "fax_number": "806-354-5730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465659",
            "country_code": "US",
            "telephone_number": "620-272-2579",
            "fax_number": "620-272-2685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "TOSHA",
        "middle_name": "DEANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-78945",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142596",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "AP142596",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "849172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tosha.brandon@cccancer.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "410 E Spruce St",
            "city": "Garden City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678465659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tosha.brandon@cccancer.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "112 W Ross Blvd Ste D",
            "city": "Dodge City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678017220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tosha.brandon@cccancer.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "201 Albert Ave",
            "city": "Scott City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678716117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tosha.brandon@cccancer.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "305 W 15th St Ste 203",
            "city": "Liberal",
            "state": "KS",
            "country_code": "US",
            "postal_code": "679012455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.